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Wednesday, July 8, 2015

What disinfectants should be used when cleaning up after animals?

Dishwashers need to operate at 60 degrees C to kill most pathogens - especially if they incorporate an extra "rinse" cycle.

What disinfectant do you use to clean up after animals?
What is the best disinfectant for vet practices to use? It seems like a simple
question, but disinfectants have a LOT of work to do. We rely on them to
control infectious diseases.

According to a panel of feline experts, “the
cornerstone of good hygiene is effective disinfection” (Addie et al, 2015).

Appropriate disinfection, as part of a good cleaning regime, will save lives.

They’ve
just published guidelines on disinfectant choices for feline environments – but
the guidelines can be applied to dogs also.

In nature animals are more spread out so there is usually
less density of bugs. In households, shelters and vet hospitals, animals are
closer together, exposing them to unnaturally high levels of pathogens.

The hardest bugs to kill include parvoviruses (that
includes feline parvovirus or panleukopenia virus), protozoal oocysts,
mycobacteria, bacterial spores and prions. The best way to kill these is heat,
under pressure, which is fine for autoclaving surgical equipment but not
appropriate for human hands or animals.

A very important consideration when it comes to choosing
an appropriate feline disinfectant is that they are susceptible to toxic
effects not necessarily seen in other species. For those who want the detail,
cats lack the enzyme UDP-glucuonosyl transferase, which is used by other
species to detoxify agents like phenols. It is believed that because cats are
true carnivores they’ve not been historically exposed to plant toxins and thus
have lost the ability to metabolise these via glucuronidation (the
use-it-or-lose-it approach to evolution). This is one reason why essential oils
should not be used in cats.

Another quirk of cats is that they spend 5-25 per cent of
their time grooming so tend to orally ingest just about anything in the
environment if they walk, sit or lie on it.

Hero grooms his little paws.

So while it is important to choose a detergent that blows
bugs out of existence, it needs to be safe to animals and humans.

Other key points are:

Dishwashers and washing machines should operate at a
temperature of 60 degrees Celsius to eliminate spores and viruses;

Alcohol, especially ethanol, is very good at killing
enveloped viruses and is not easily contaminated – but it’s not so good at killing
the non-enveloped viruses;

Bleach is very effective and very safe IF it is not
inactivated by organic material, heavy metal ions, biofilms, low temperature,
low pH or UV radiation. In other words bleach needs to be applied to a clean
surface (this applies to most disinfectants really);

Chlorhexidine which is commonly used as a skin scrub is
easily contaminated and not as effective as alcohols;

Quaternary ammonium compounds such as benzalkonium
chloride are not recommended. While they are effective against some pathogens
there is increasing documentation of resistance, and not just to these products
but a cross-resistance can develop to antibiotics including drugs like
chloramphenicol;

No single disinfectant will kill everything we want it
to, so it’s important to do an inventory of the cleaning products in your
hospital, shelter or home. As antibiotic resistance is an increasing issue, we
will be relying more on disinfectants.

According to the authors, we may be seeing an increased
use in UV radiation and products containing silver being used for disinfection in the future.
They recommend cardboard litter trays in outbreak situations and this seems
like a very good idea in a veterinary hospital context, bearing in mind the
waste that may be created. Of course there are other important things we can do to reduce the risk of infectious diseases - isolating unwell animals, avoiding over-stocking or over-crowding (which is not just bad for the physical but also the emotional and mental health of animals, as it is for people) and appropriate vaccination.

You can download and read the guidelines here. You can also subscribe to the guidelines at the website.

Veterinary Ethics: Navigating Tough Cases

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